Provider Demographics
NPI:1093089609
Name:SAVLOV, JEFFREY A (MSW)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:SAVLOV
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 RARITAN AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2440
Mailing Address - Country:US
Mailing Address - Phone:732-296-8047
Mailing Address - Fax:
Practice Address - Street 1:47 RARITAN AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2440
Practice Address - Country:US
Practice Address - Phone:732-296-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC432651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical